Transforming the way we work

Collaborative working and strong partnerships are at the heart of the TOHETI programme. Meaningful engagement with our stakeholders is essential to ensure the long-term success and viability of this ambitious programme of works – which not only aims to change how we use imaging in care pathways across primary and secondary care, but to transform the way we work.

TOHETI is all about empowering change across primary and secondary care, and aim is for these changes to be owned and led by those on the frontline. Continued engagement, input and feedback has been sought over the programme’s duration from across all our stakeholder groups: clinicians, imaging staff, GPs, nurses, patients and patient groups, commissioners and other healthcare staff.

TOHETI funding enabled a new Service Improvement Manager post for the Trust’s Clinical Imaging and Medical Physics (CLIMP) Directorate, whose programme of work includes delivering service improvements around the new models of CT & MRI through a service improvement working group; identifying opportunities to improve outcomes and flow for interventional radiology and ultrasound services; provision of training for staff in lean methodology working with Cook Medical, and developing GP Engagement with Radiology services.

In a recent event looking back over the first year of phase 2, Dr Ian Abbs, Medical Director, Guy’s and St Thomas’ challenged staff across CLIMP to take the opportunity the TOHETI programme affords and the extra imaging capacity being delivered to Guy’s and St Thomas’ in 2016-17 to “think the unthinkable. How radical can we be in changing patient pathways? In 5 years’ time, could we have a healthcare model led by our staff that looks completely different to what we have here today?”

TOHETI has also been instrumental in ensuring that discussions around change management approaches are on the agenda for the Executive Team at Guy’s and St Thomas’, to enable an organisation-wide approach to cultural change. We have built up a strong working relationship with colleagues from the Virginia Mason Institute, Seattle, and NHS organisations closer to home such as Tees, Esk and Wear Valley NHS Foundation Trust, West Sussex Foundation Trust and Sunderland NHS Trust to explore new methodologies of working, taking on learnings to act as a catalyst for change.